Healthcare Provider Details

I. General information

NPI: 1750567426
Provider Name (Legal Business Name): JERRI SHAY KELLY DURDEN CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHAY KELLY STRICKLAND CRNA

II. Dates (important events)

Enumeration Date: 01/12/2008
Last Update Date: 11/02/2025
Certification Date: 11/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 WATERS AVE
SAVANNAH GA
31404-6220
US

IV. Provider business mailing address

211 GA HIGHWAY 46
REGISTER GA
30452-3876
US

V. Phone/Fax

Practice location:
  • Phone: 912-350-8000
  • Fax:
Mailing address:
  • Phone: 912-531-1799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN144422
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: